Mwana wenyu akamboudzwa here kuti anoda kuvhiyiwa septostomy? Ngationei zvakawanda nezvazvo.

Unofanira kunge wakatya zvikuru chiremba paakakuudza kuti mwana wako mudiki ane chirwere chemwoyo chaakazvarwa nacho. Saka, vangangodaro vakakuudza kuti panodiwa nzira inonzi septostomy kuponesa hupenyu hwemwana wako. Zvakajairika kunzwa wakaremerwa uye kuvhiringidzika paunonzwa mashoko aya. Asi usazvidya mwoyo. Nhasi, tichataura kuti chii, kuti zvinoitwa sei, uye kuti zvinoitwa sei nenzira iri nyore yaunogona kunzwisisa.

Chii chinonzi septostomy?

Zvichitaurwa zviri nyore, septostomy inzira yakakosha inobatsira vacheche vane mamwe matambudziko emwoyo ekuzvarwa nawo kuti vararame kusvika vagadzirira kuvhiyiwa kukuru kuti vagadzirise dambudziko racho. Vamwe vanhu vanoidanawo kuti 'Balloon Atrial Septostomy'.

Fungidzira, pane rusvingo rudiki pakati pemakamuri maviri epamusoro emwoyo wedu (atria). Mukurapa uku, buri diki riripo murusvingo irworwo rinoitwa rakakura zvishoma uchishandisa chimwe chinhu chakaita sebharumu.

Kana buri iri rakura, ropa rine oxygen yakawanda (ropa rakanaka) neropa rine oxygen shoma (ropa rakaipa) zvinotanga kusangana. Zvadaro, rimwe reropa iri rakasanganiswa rinofamba mumuviri wemwana wese. Zvikasadaro, ropa risina oxygen chete ndiro rinofamba mumuviri wemwana wese, izvo zvine njodzi huru kuhupenyu hwake.

Mwana werudzii anoda kurapwa uku?

Vamwe vana vanozvarwa vaine zvimwe zvirwere zvemwoyo. Nekuda kwezvirwere izvi, ropa risina oxygen mumuviri hariendi kumapapu uye haricheneswi. Zvadaro nyama dzemwana hadziwani oxygen yadzinoda. Tinodana chirwere ichi kuti 'cyanosis'. Ungave wakaona vamwe vana vane ganda rebhuruu. Ndicho chiratidzo chikuru cheizvi. Ichi chirwere chine njodzi zvikuru, uye chinofanira kurapwa nekukasika.

Maitiro aya, anonzi septostomy, anowanzo shandiswa mumhando mbiri dzezvirwere zvemwoyo.

Chii chinonzi "gomba rechisikigo" iri rinonzi Foramen Ovale?

Ichi chinhu chinoshamisa zvikuru. Mwana wese ari mudumbu ane buri diki pamadziro (septum) pakati pemativi ekurudyi nekuruboshwe emwoyo wake. Inonzi foramen ovale.

Pavanenge vari mudumbu, vacheche havafeme nemapapu avo. Vanowana mweya wavo kubva kuplacenta yaamai, kuburikidza nerukuvhute. Ropa iri rine mweya rinobva kurudyi rwemoyo wemwana, richienda zvakananga nepaburi iroro kuenda kuruboshwe. Kubva ipapo, rinoenda mumuviri wese. Izvi zvinoreva kuti pavanenge vari mudumbu, ropa hariendi kumapapu.

Zvisinei, mwana paanongozvarwa, mapapu anotanga kushanda. Saka hapana chikonzero cheburi iroro. Saka, buri rinovharika zvaro mazuva mashoma mushure mekuzvarwa.

Saka, kumwana ane chirwere chemwoyo chataurwa pamusoro apa, dambudziko guru nderekuti buri iri rinovharika here. Nekuti, chero bedzi buri iroro riripo, rimwe ropa rine oxygen rinosanganiswa neropa risina oxygen ropinda mumuviri. Parinongovharika, nzira iyoyo inorasika uye mwana haawani oxygen yakakwana. Zvinoitwa ne septostomy kuvhura buri iroro rinovhara kana rakavharwa zvakare woriita kuti rikure zvishoma.

Septostomy inoitwa sei?

Izvi zvinoitirwa mukamuri rakakosha muchikamu chemwoyo chechipatara (catheterization lab) kana muchikamu chekuchengetedza varwere vacheche (NICU). Zvinoitwa nachiremba wemwoyo akadzidziswa zvakanyanya nezveizvi.

1. Kugadzirira: Mwana anopiwa mushonga unodiwa kuti agare akadzikama uye asingarwadziwe.

2. Kuisa catheter: Kazhinji, tsono diki inoshandiswa kubaya tsinga huru yeropa mudumbu remwana, uye chubhu yakatetepa, inochinjika (catheter) inopinzwa nepairi. Chubhu iyi ine bharumu diki kumagumo. Dzimwe nguva izvi zvinoitwawo nechubhu iri murukuvhute.

3. Kufamba uchienda kumoyo: Chiremba anotarisa muchina wekuskena, wakaita se 'echocardiogram', uye anotungamira chubhu nekungwarira kuburikidza netsinga dzeropa kusvika kumoyo.

4. Kuwedzera gomba:Chubhu iyi inopinda muatrium yekurudyi yemoyo, uye kubva ipapo inopinzwa muatrium yekuruboshwe kuburikidza neforamen ovale. Zvadaro, bharumu riri kumagumo kwechubhu rinofuridzirwa rodhonzwa kurutivi rwekurudyi. Ipapo gomba rinotambanuka robva rakura.

5. Kupera: Kana basa rapera, bvisai mhepo kubva mubharumu mobvisa chubhu nokungwarira.

Maitiro ese aya anowanzo tora nguva isingasviki awa.

Unoziva sei kana izvi zvichibudirira? Ndezvipi zvakanakira uye njodzi dziripo?

Vanachiremba vanoona kana kurapwa kwacho kuchibudirira zvichibva pazvinhu zvakaita se:

• Mwero weokisijeni muropa remwana unowedzera ne10% zvichienzaniswa nepakutanga.
• Buri riri mumoyo rinokura kanenge chikamu chimwe muzvitatu kupfuura zvaraive kare.
• Musiyano mukuru wekumanikidzwa kweropa pakati pe atria yerudyi nekuruboshwe yemoyo unonyangarika.

Chinhu chikuru ndechekuti izvi zvinoponesa hupenyu hwemwana. Mwana asingakwanise kuwana oxygen neimwe nzira ane mukana wekurarama kusvika avhiyiwa zvikuru.

Tichitaura nezvenjodzi , kune njodzi pakurapa chero kupi zvako. Kunyanya kuvana vacheche vane zvirwere zvemwoyo zvakakomba seizvi, chero chinhu chine njodzi. Dzimwe ongororo dzakawana hukama huripo pakati pekurapa uku nestroke, asi hazvina kuratidzwa zvakajeka. Pamwe njodzi haisi yekurasikirwa neokisijeni mumuviri nekuda kwechirwere chemwoyo.

Ramangwana remwana rakaita sei mushure mekurapwa?

Chikamu chikuru chevacheche vanoitwa septostomy, 94%, vanopedza chirongwa ichi zvinobudirira. Mushure meizvozvo, kuvhiyiwa kukuru (semuenzaniso, kuvhiyiwa kwekuchinja kwetsinga dzeropa) kunoitwa kugadzirisa dambudziko remwoyo panguva yakakodzera. Kubudirira kwekuvhiyiwa uku kuri pamusoro-soro, pa97-98%.

Kunyangwe mushure mekuvhiyiwa, mwana wako achada kurapwa nguva dzose. Uchafanirwa kuramba uchiongororwa nachiremba wako, kuskenwa, uye kunwa mishonga. Mwana wese akasiyana, saka chiremba wako anogona kukupa ruzivo rwakanakisisa nezvekufambira mberi kwemwana wako.

Ndinonzwisisa kutya nekuzvidya mwoyo kwaunonzwa kana uchifanira kuita chinhu chakadai kumwana wako. Asi yeuka, sainzi yezvekurapa yafambira mberi zvikuru nhasi. Kune timu yevanachiremba nevakoti vane hunyanzvi hwekutarisira mwana wako. Usatya kuvabvunza chero mibvunzo kana kusava nechokwadi kwaunako.